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re: Supporters of Obamacare: Are there no free market solutions to Healthcare?

Posted on 1/10/14 at 3:26 pm to
Posted by Taxing Authority
Houston
Member since Feb 2010
57383 posts
Posted on 1/10/14 at 3:26 pm to
quote:

So you agree that the insurance system absent of government is still not really a free market system?
Sort of. The mistake patients make is believing that they are the customer when it comes to receiving healthcare. They are not. The insurance company is the doctor's customer.

A market does exist between insurance companies and providers. But it's a much smaller (fewer actors) and thus less competitive market, lacking downward price drivers, than would exist if patients were paying their own bills.
Posted by ironsides
Nashville, TN
Member since May 2006
8153 posts
Posted on 1/10/14 at 6:09 pm to
quote:

A market does exist between insurance companies and providers. But it's a much smaller (fewer actors) and thus less competitive market, lacking downward price drivers, than would exist if patients were paying their own bills.


If that is true then why:
1) Is United Healthcare's cashflow margin less than 5%
2) Is HCA's cashflow margin less than 5%

I just can't get into the "greed" argument when the margins are low and the executives in healthcare aren't making nearly as much as those in banking, technology, or other industries.

NOW that being said if patients were paying their own bills and could comparison shop there would be downward cost drivers......
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